椎体后凸:三例非支配性额叶受累病例及文献综述

Okan Sokmen, F. Tezer, K. K. Oguz, Bilge Volkan-Salanci, E. Ergün, S. Saygi
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摘要

目的:秽语(Coprolalia)的定义是不自主地使用淫秽、社会无法接受和贬义的词语。发作期秽语是癫痫的一种罕见表现。本研究旨在确定癫痫患者发作期共语的定位和侧位价值及频率。研究方法回顾性审查了 2238 名患者的病历、出院摘要和脑电图(EEG)报告。我们确定了哪些患者患有发作性共济失调。评估了脑电图报告、神经影像学(脑磁共振成像 (MRI)、氟脱氧葡萄糖正电子发射断层扫描 (FDG-PET)、单光子发射计算机断层扫描 (SPECT))记录、融合在 MRI 图像上的 F-18 FDG 以及融合在 MRI 图像上的发作期 SPECT。此外,还通过对 Pubmed、Scopus 和 Clarivate Analytics 进行系统检索,确定了原创文章和评论文章。结果在 3 名男性患者(0.15%)中发现了ctal coprolalia。在所有患者中,发作性半规律为颞外-额叶型,潜在/已证实的癫痫灶为非优势半球额叶。其中一名患者接受了拓扑切除术,包括左侧额叶的疑似发育不良区和发生脑电图发作期和发作间期改变的区域,患者的恩格尔分类为 IIA 级。根据已发表病例的数据显示,发作性共济失调在男性中占主导地位,致痫区往往位于非优势半球的额颞区。结论与其他系列研究相比,土耳其人群中发作性癫痫的发生率较低。我们的研究结果与之前的研究结果一致,之前的研究报告显示,发作性共济失调以男性居多,且非优势额叶受累。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ictal Coprolalia: Three Cases with Nondominat Frontal Lobe Involvement and Review of the Literature.
Objective: Coprolalia is defined as the involuntary use of obscene, socially unacceptable, and derogatory words. Ictal coprolalia is a rare presentation of epilepsy. This study aimed to determine the localizing and lateralizing value and frequency of ictal coprolalia in epilepsy patients. Methods: Medical files, discharge summaries, and electroencephalography (EEG) reports of 2238 patients were reviewed retrospectively. We identified patients who suffered from ictal coprolalia. Electroencephalography reports, neuroimaging [brain magnetic resonance imaging (MRI), fluorodeoxyglucose positron emission tomography (FDG-PET), single-photon emission computerized tomography (SPECT)] records, F-18 FDG fused on MRI images, and ictal SPECT fused on MRI images were evaluated. Also, original and review articles were identified through a systematic search of Pubmed, Scopus, and Clarivate Analytics. Results: Ictal coprolalia was detected in 3 male (0.15%) patients. In all patients, ictal semiology was extratemporal-frontal type, and potential/proven epileptic focus was non-dominant hemisphere frontal lobe. Topectomy was done in one of the patients, including the suspected dysplastic area plus the area where the electroencephalographic ictal and interictal changes occur, on the left frontal lobe, and the patient had an Engel's classification class IIA. The data depending on the published cases showed that ictal coprolalia was dominant in the male gender and the responsible epileptic area tended to be located in the non-dominant hemisphere frontotemporal region. Conclusion: The rate of ictal coprolalia in the Turkish population is lower compared to other series. Our results are consistent with previous studies in which reported that male preponderance for ictal coprolalia and involvement of non-dominant frontal lobe.
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